| NPI | 1124413760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON GUY MACK Owner 480-641-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 2015015-01-BE) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |